- Molina Healthcare (Columbus, GA)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lead level support as a highly capable business analyst who serves as a key strategic partner in...lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based ... developing data criteria for audits. . Acts as a Lead and provides training, guidance, consultation, complex performance analysis,...expert and resource for escalations and works directly with Payment Integrity staff to resolve issues and… more
- PSEG Long Island (Melville, NY)
- …visa sponsorship for this position. **Job Summary** This role resides within the Payment Processing & Revenue Integrity department at PSEG Long Island. ... implemented solutions and take corrective action as required. + Lead , manage, and improve department processes with a focus...related discipline, and a minimum of 7 years of Analyst experience in customer operations, payment processing,… more
- PSEG Long Island (Melville, NY)
- …visa sponsorship for this position. **Job Summary** This role resides within the Payment Processing & Revenue Integrity department at PSEG Long Island. ... implemented solutions and take corrective action as required. + Lead , manage and improve department processes with a focus...related discipline and a minimum of 2 years of Analyst experience in customer operations, payment processing,… more
- UPMC (Pittsburgh, PA)
- …processed and paid. This is your opportunity to make a real impact on payment integrity and compliance while collaborating with talented teams across the ... At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical...to align edits with clinical and financial goals. + Lead impactful projects: Drive initiatives that monitor and adapt… more
- Sanford Health (Fargo, ND)
- …party payor contracts in Experian and Contract Maintenance (ie hospital and clinic payment integrity tools). Acts as a resource while coaches others regarding ... **Weekly Hours:** 40.00 **Salary Range:** $31.00 - $49.50 **Job Summary** The Lead Reimbursement Analyst provides critical analytical and reimbursement related… more
- Curtiss-Wright Corporation (Brecksville, OH)
- Business & Pricing Lead Analyst We are looking for a Business and Pricing Lead Analyst to joining our Farris team! You will be responsible for managing ... within the Farris ERP system to ensure compliance with standard pricing methodology. Lead effort to incorporate pricing model into new Product Configurator and ERP… more
- Curtiss-Wright Corporation (Bethlehem, PA)
- **Material Analyst , Lead ** As our Materials Analyst Lead , you will perform a key role as the administrator for assigned Manufactured Products. You will ... material acquisition strategies + Coordinates identification and delivery of all long lead -time materials + PO and Project Management review for details and… more
- TEKsystems (Palm Beach Gardens, FL)
- …GL, CM) Bi Publisher, OTBI, Fit/Gap Analysis Experience Level Expert Level The Lead Oracle Fusion Finance Analyst will oversee the implementation, optimization, ... finance. Primary Duties and Responsibilities Oracle Fusion Financials Expertise: * Lead end-to-end implementations and upgrades of Oracle Fusion Financial modules… more
- Molina Healthcare (Carson City, NV)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
Recent Jobs
-
Senior Software Application Developer
- CACI International (Sterling, VA)
-
Data Engineering Advisor
- Insight Global (Spring, TX)
-
Manager, Cert Reg Nurse Anesthetist - Beverly Anesthesia
- Cedars-Sinai (CA)
-
(USA) Staff, Software Engineer
- Walmart (Bentonville, AR)